| NPI | 1992399703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILIO CASTANEDA President 305-450-1757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2023-07-25 |