| NPI | 1871851501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARA A SALAZAR-VUST President 786-953-6479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 261Q00000X (Licence: HCC7882) |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2014-09-02 |