| 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 |