| NPI | 1740440577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILDA ROSE ACOSTA President CEO 305-242-5336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME0061179) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |