| NPI | 1730828211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER MONTANE DE MESA President 786-953-5752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-10-19 |