| NPI | 1033537618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL A FERNANDEZ Medical Doctor 786-261-6935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME 17907) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-04-04 |