| NPI | 1063813764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MANUEL MARTINEZ President 305-463-7797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL OS11857) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |