NPI | 1073048310 |
---|---|
Entity Type | Organization |
Authorized Contact | MIGUEL A RODRIGUEZ President 786-662-9696 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC10974) |
Additional Taxonomies | 251B00000X Case Management |
251S00000X | |
Enumeration Date | 2017-04-25 |
Last Update Date | 2020-10-01 |