| NPI | 1528290756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE GAINZA Administrator 305-256-9996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL HCC8173) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2009-08-21 |