| NPI | 1922523604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NURY CARBAJAL Owner 305-874-3909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2020-06-24 |