| NPI | 1851055529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN DYNAMO DE JESUS Managing Partner 305-510-0877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2021-10-28 |