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 |