| NPI | 1861183287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC MILLER Medical Doctor 786-616-8932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2025-05-29 |