| NPI | 1992892558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGUSTIN MARTINEZ Physician 305-822-6885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: FL ME82266) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2014-04-16 |