NPI | 1821667981 |
---|---|
Entity Type | Organization |
Authorized Contact | LIZEL VIONET GONZALEZ Senior EVP Of Human Resources 305-283-4749 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 208D00000X General Practice |
Enumeration Date | 2021-06-23 |
Last Update Date | 2024-08-28 |