| NPI | 1518596097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL FERNANDEZ President 786-209-7589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261Q00000X Clinic/Center | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2024-05-21 |