| NPI | 1477321636 |
|---|---|
| Doing Business As | PRIMARY AND MENTAL HEALTH CARE |
| Entity Type | Organization |
| Authorized Contact | ANA V CAMPUZANO Provider 786-808-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |