| NPI | 1699078907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELIN GAMEZ Credentialing 305-351-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL HCC8907) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL HC8907) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |