| NPI | 1467802801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA P. VASQUEZ Vice President 305-305-7565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |