| NPI | 1023411154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN VALDES Medical Director 786-391-6007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME111211) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-10-03 |