| NPI | 1831951565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL MIGUEL CARRASCO Medical Director 786-999-3727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-02-02 |