| NPI | 1477239515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANOI GONZALEZ CAMEJO Medical Director 786-916-0637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2023-07-11 |