NPI | 1932657921 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERTO CUCURULLO Member 305-822-1243 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME84810) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: FL PA 9100128) |
Enumeration Date | 2016-09-19 |
Last Update Date | 2016-09-19 |