| NPI | 1497174981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IXSA TANYA GARCIA-JUARBE President 954-592-0898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS12430) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |