| NPI | 1508688151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE PELAYO CEO 305-284-7484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2024-10-25 |