| NPI | 1659420974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA B ALFONSO Owner 305-668-7047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME87045) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2021-11-18 |