| NPI | 1699472274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE RODRIGUEZ CAMPO President 305-776-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2024-07-26 |