NPI | 1891029104 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLOS M LAROCCA Owner/Physician 305-271-4001 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME 53044) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME 82455) |
207QA0401X Family Medicine, Addiction Medicine (Licence: FL ME 53044) | |
Enumeration Date | 2009-09-21 |
Last Update Date | 2009-09-21 |