| NPI | 1003960642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO DE LA CRUZ President 305-441-2773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL DN0014560) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2014-11-05 |