| 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 |