| NPI | 1972818482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLANDO HERIBERTO GONZALEZ Owner 305-223-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME82612) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |