| NPI | 1538458153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO GOMEZ President 786-256-4174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME102113) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |