| NPI | 1982867016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO DE JESUS DALLY President 305-275-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME88433) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2018-10-02 |