| NPI | 1790455053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN RODRIGUEZ President 786-238-3054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM0801X | |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2024-04-19 |