| NPI | 1043667405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAMALIEL MATTOS Medical Director 305-235-5595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL 7411232) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |