| NPI | 1942974555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DILIO BRAVO President/Owner 786-206-8521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2023-11-02 |