| NPI | 1457864753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN JL PARRILLA Physician 305-696-0842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME130156) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |