| NPI | 1992150718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS A PEDRAJA Chief Operating Officer 305-692-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME66407) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |