| NPI | 1891746525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZARA M SANCHEZ Administrator 305-860-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME49132) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2011-02-09 |