| NPI | 1659818102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL ENRIQUE LLANIO Physician 786-597-1367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS11980) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |