NPI | 1932384047 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSE G VALIENTE Owner/President 305-553-0560 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL me23012) |
Enumeration Date | 2008-01-08 |
Last Update Date | 2012-01-13 |