| NPI | 1033412184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO E JARDON CEO 305-424-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: FL 744441) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2014-11-03 |