| NPI | 1467769497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL A FERNANDEZ President 305-994-9449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME17907) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |