| NPI | 1962938928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASIEL MOREIRA CEO 786-515-3156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-04-04 |