| NPI | 1962109611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSMANI PLACENCIA Owner 786-235-2993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |