| NPI | 1598923450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS A RIVERO Authorized Official 305-567-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL HCC6049) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH8930) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI 637) | |
| 208D00000X General Practice (Licence: FL ACN 223) | |
| 208D00000X General Practice (Licence: FL ACN 316) | |
| 363A00000X Physician Assistant (Licence: FL CI 415) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2019-12-10 |