| NPI | 1063649077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALDO ACEBO President 305-403-1035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL ME 81372) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |