| 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 |