| NPI | 1528156445 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MANUELA BORCHES President 305-785-7266  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208D00000X General Practice (Licence: FL HCC7273)  | 
| Additional Taxonomies | 208VP0000X  (Licence: FL HCC7273)  | 
| Enumeration Date | 2006-10-10 | 
| Last Update Date | 2025-09-11 |