| NPI | 1548814155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CAMILO GOMEZ Owner 305-283-8375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2020-06-22 |