| NPI | 1023163367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN BEJERANO President 786-452-9680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL OS13450) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2016-01-08 |