| NPI | 1790715688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN SUAREZ Billing Manager 786-843-9059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME67254) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2019-08-27 |