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 |