| NPI | 1649146820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX HERNAN LAFALCE Manager 954-848-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2025-10-14 |