| NPI | 1942879945 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | FELIPE GASCON President 305-804-6676  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine | 
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care | 
| 174400000X Specialist | |
| Enumeration Date | 2021-06-23 | 
| Last Update Date | 2021-09-14 |