| NPI | 1598318495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MABEL MARICHAL Mgr 786-409-9490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 208D00000X General Practice | |
| 251S00000X | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 363A00000X Physician Assistant | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2023-05-09 |