| NPI | 1841707171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE CASANOVA Owner/President 305-442-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME78770) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |