| NPI | 1780613687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINGO GOMEZ President 305-364-3404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: FL ME0029637) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2011-10-28 |