| NPI | 1487755385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN I VALLES President/Owner 305-233-7035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL HCC3666) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2023-04-03 |