NPI | 1629664255 |
---|---|
Entity Type | Organization |
Authorized Contact | NESTOR MORFA Health Services Administrator 305-400-2826 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2020-12-17 |
Last Update Date | 2024-12-12 |