| NPI | 1467281774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA REGO Billing Manager 305-649-7610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-08-05 |