NPI | 1629790340 |
---|---|
Entity Type | Organization |
Authorized Contact | YANET GARCIA Ap RN 305-305-1002 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
261QR1100X Clinic/Center, Research | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2022-09-19 |
Last Update Date | 2022-09-19 |