| NPI | 1821471947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEMINISA M SOLORZANO Crco 954-667-5465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2024-11-19 |