| NPI | 1912472200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN-MARCEL FORTE Certified Physician Assistant 305-807-4283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |