| NPI | 1962790535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY LENO President/CEO 786-298-7379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2023-09-20 |