NPI | 1700465226 |
---|---|
Entity Type | Organization |
Authorized Contact | ALFREDO CUBA CEO 786-263-3100 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2021-04-02 |
Last Update Date | 2022-05-18 |