| NPI | 1699656645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE O FARINAS Owner/Medical Provider 786-853-1460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-08 |