| NPI | 1598949828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OCTAVIO ENRIQUE PRIETO President 954-583-0778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME34072) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2008-03-13 |