| NPI | 1740687821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO ELIZALDE Md 305-621-8051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9106732) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2024-08-27 |