| NPI | 1922111590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO DIAZ President 786-631-4336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2019-12-02 |