| NPI | 1003424813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS E BRAVO President 786-660-0350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2024-06-28 |