| NPI | 1740679869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET HERNANDEZ Office Manager 305-971-6883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME066055) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |