| NPI | 1790022507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA R MARTINEZ ESCOBAR Md 954-367-3157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME103476) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2024-08-28 |