| NPI | 1467835470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAREN CHAVEZ President 305-720-9253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |