| NPI | 1851983993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARICELA GONZALEZ Owner 305-773-8173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2023-08-15 |