| NPI | 1891890059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE CASANOVA President 305-442-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2017-12-26 |