| NPI | 1932405230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL E GONZALEZ Owner 954-964-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME 55600) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2012-12-14 |