| NPI | 1932944303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN DJ GONZALEZ-DIAZ Owner 305-984-8422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-06-27 |