| NPI | 1487086773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO E LA O President 786-521-6517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207R00000X Internal Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |