| NPI | 1750632972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAIMILSIS SALGADO Director Of Provider Relations 305-614-7740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL OS004878) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2025-08-08 |