| NPI | 1679550883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRTA L. PEREZ President 305-642-2340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL HCC6399) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL HCC6399) |
| 261Q00000X Clinic/Center (Licence: FL HCC6399) | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2012-10-05 |