| NPI | 1619634136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL RAMON FERNANDEZ Owner/ Ap RN 786-326-4240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2022-02-25 |