| NPI | 1699931782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR BENITEZ President 305-591-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: FL HCC6978) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2023-04-10 |