| NPI | 1902018708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ELENA HERNANDEZ Owner 305-262-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL HCC4945) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2022-11-01 |