| NPI | 1780429043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISLEYDIS DENIS President 786-525-6428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2025-04-25 |