| NPI | 1629019062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS MOAS President 786-494-5154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363L00000X Nurse Practitioner | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2026-01-09 |