NPI | 1750015772 |
---|---|
Entity Type | Organization |
Authorized Contact | ALICIA COKER Attending Physician 305-392-0449 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2022-07-14 |
Last Update Date | 2022-07-29 |