| NPI | 1508899659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR PALACIOS Director/Officer 305-554-1737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL HCC5587) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2022-07-21 |