| NPI | 1679378723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISBELLE EMMA REVOREDO Director 305-418-0847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-08-12 |