| NPI | 1669831558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY OCHOA CIOCON Owner 954-451-3241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME54854) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-05-27 |