| NPI | 1851159974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS ROCHA Director 786-236-3402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1100X Clinic/Center Research |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-03-12 |