| NPI | 1053665521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISMAEL LABRADOR President 954-474-8586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL ME 92214) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |