| NPI | 1902113939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE A DAVILA President 786-370-6869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QP2300X Clinic/Center, Primary Care (Licence: FL HCC8852) | |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2023-06-15 |