| NPI | 1750488326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAISYS MARIA BALLESTEROS President 305-275-6202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS8354) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2020-08-22 |