| NPI | 1841249802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIVA C MARRERO President/Director 305-222-9265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: FL POL2683) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME81313) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-08-22 |