| NPI | 1598171266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J DORTONNE Doctor 305-323-0354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME77120) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-02 |