NPI | 1982062485 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIO JARDON President & CEO 305-825-0300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2016-01-29 |
Last Update Date | 2023-01-03 |