| NPI | 1801231550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA LOPEZ Vice President 305-267-4414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME108475) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |