| NPI | 1992876551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS H. RODRIGUEZ Owner President 305-480-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL HCC7447) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2009-11-04 |