| NPI | 1811357122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELA MANNO Director 786-577-0024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251B00000X Case Management | |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2021-11-29 |