| NPI | 1972117224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELA MARINELLO Director 305-647-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |