| NPI | 1588908818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA LEAL Vice President 786-271-0256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME34561) |
| 261QP2300X Clinic/Center, Primary Care (Licence: FL ME89828) | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2023-12-05 |