NPI | 1588336051 |
---|---|
Entity Type | Organization |
Authorized Contact | CARMEN MORALES Mgr 786-504-3022 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2021-10-01 |
Last Update Date | 2022-10-18 |