| NPI | 1619249927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZARO MOREIRA Pres CEO 305-242-9952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |