| NPI | 1871795856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDANIA M. FERNANDEZ Vicepresident 305-826-8353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME82719) |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2009-11-12 |