| NPI | 1902018708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ELENA HERNANDEZ Owner 305-826-5887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261Q00000X Clinic/Center | |
| 208D00000X General Practice (Licence: FL HCC4945) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2025-10-14 |