| NPI | 1922044882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO MARTIN President 305-558-3466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME65756) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-08-22 |