| NPI | 1801078555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR FELIPE FERNANDEZ Owner 954-346-5044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 0061881) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2021-06-24 |