| NPI | 1720804263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUSLEIDYS L VELAZQUEZ President 305-562-9824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-11-30 |
| Last Update Date | 2025-02-20 |