| NPI | 1831640861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANET RODRIGUEZ FERRERA President 305-363-2762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care (Licence: FL ME79915) |
| 302R00000X Health Maintenance Organization (Licence: FL ME79915) | |
| 305S00000X Point of Service (Licence: FL ME79915) | |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2023-03-01 |