NPI | 1538504972 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWIN HERRERA Owner / President 305-978-1486 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME72391) |
Enumeration Date | 2013-04-29 |
Last Update Date | 2013-12-11 |