| NPI | 1598146474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR LUIS DI CARLO President 954-533-1173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME102570) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2024-07-08 |