| NPI | 1982091682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH Y COVA Director 305-331-6994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME106711) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |