| NPI | 1699564856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARAH BAUDIN Office Consultant 786-277-1621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-05 |