| NPI | 1811652795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSUE RODRIGUEZ Vice President 786-451-3040 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2023-06-27 |