| NPI | 1598371247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARIDAD MIREYA GALLARDO PIMENTEL President 954-331-4966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2022-08-08 |