| NPI | 1710429493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGUEDA BOUZA Provider Service Manager 305-278-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME-53888) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2024-04-26 |