| NPI | 1982911269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN G PADRON President 305-262-2629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL HCC8492) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |