| NPI | 1720456676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODOLFO DUMENIGO President 305-534-0076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME58111) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-10 |