| NPI | 1568780187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM S PROZZILLO Office Manager 305-253-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS3473) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2021-03-18 |