| NPI | 1740618503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYKEL JIEMENZ President 786-294-0710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH10366) |
| 363AM0700X Physician Assistant, Medical (Licence: FL PA9100157) | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2015-05-21 |