| 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 |