| 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 |