| NPI | 1679749998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO SOMODEVILLA President 305-269-0385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0049294) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |