| NPI | 1003244146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA CONSUEGRA President 786-553-7559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL CH9199) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |