NPI | 1881850303 |
---|---|
Entity Type | Organization |
Authorized Contact | MANUEL A FERNANDEZ MDPA President/Owner 305-207-7595 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ME17907) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME17907) |
Enumeration Date | 2008-08-04 |
Last Update Date | 2016-08-01 |