| NPI | 1770988990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA BONETTI Associate Director 786-507-8556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208D00000X General Practice | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2024-06-21 |