| NPI | 1063454676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIAS SEBASTIAN MUNGUIA President 305-265-1881 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL hcc4733) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2007-07-10 |