| NPI | 1568298636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MAZZEI Pres 305-728-9763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2025-03-06 |