| NPI | 1740566199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE RODRIGUEZ Treasury/Secretary 305-265-4071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME90883) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2011-10-31 |