| NPI | 1811965395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY LORA Owner 305-631-9903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2008-09-22 |