| NPI | 1003018805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVIER E ORTIZ President 786-331-7886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL 7899) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |