| NPI | 1477832848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS J GONZALEZ President 305-888-2210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: FL ME85120) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME85120) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME0070886) | |
| 207R00000X Internal Medicine (Licence: OS6179) | |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-11-09 |