| NPI | 1073403119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUDMILA DE LA CONCEPCION Medical Director 786-404-3442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-07-09 |
| Last Update Date | 2025-07-09 |