| NPI | 1467825091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO F MEDRANO Owner 305-400-8774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| 261Q00000X (Licence: FL ME33458) | |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |