| NPI | 1942668900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATACHA VALDES Owner 786-217-5427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2018-11-14 |