| NPI | 1730546565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OTTO MARQUEZ Physician/Provider 305-431-1376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME122562) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2024-01-19 |