| NPI | 1679845333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE J RUEDA President 305-554-1491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9101498) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |