| NPI | 1710485255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDA PHANOR FLEURANVIL CEO 786-564-9438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care (Licence: FL PA9104039) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2021-11-09 |