| NPI | 1669587325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSELYN BONILLA President 305-888-2607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS9077) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME91321) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |