| NPI | 1841606100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMBERTO CASANOVA Md 305-827-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: FL ME83737) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |