| NPI | 1477918969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CARRILLO-MASSA Owner/Medical Doctor 561-385-7591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: FL ME115891) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |