| NPI | 1780615914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS M FERNANDEZ Vice President 786-487-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME25136) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |