| NPI | 1669063475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO ACOSTA Owner 786-277-6701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2024-06-25 |