| NPI | 1750469060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR A MARIN President 305-220-0352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME93016) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-08-15 |