| NPI | 1619521010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBER LABORDE Owner 786-290-6828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2022-06-13 |