| NPI | 1003160052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABEL NARANJO Owner 786-391-0596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC10259) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |