NPI | 1619296308 |
---|---|
Entity Type | Organization |
Authorized Contact | VLADIMIR SANTOS President 786-953-8221 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Additional Taxonomies | 207Q00000X Family Medicine |
2084P0800X Psychiatry & Neurology Psychiatry | |
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2010-05-20 |
Last Update Date | 2023-08-07 |