| NPI | 1770086134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASAEL AZOLA HERNANDEZ President 786-306-2534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |