| NPI | 1508882549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YADENIS ACHIONG Office Manager 305-403-0380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL OS8518) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-09-13 |