| NPI | 1780301051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS CASTRO Managing Partner 305-203-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2023-01-18 |