| NPI | 1053784975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN E BEJERANO President 786-479-6165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL OS13450) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |