| NPI | 1821289604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM DOMINGUEZ Administrator 305-595-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2010-07-29 |