| 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 |