| NPI | 1629356944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INES RODRIGUEZ President 305-964-7689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME104034) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9243349) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2012-02-02 |