| NPI | 1053716456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE NARANJO President 305-819-6286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL ME116074) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |