| NPI | 1003865296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN JULIO HERNANDEZ Medical Director 305-823-7740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL 13-64-09744) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-08-22 |