| NPI | 1700439700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN S DOMINGUEZ C.E.O 786-266-7551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |