| NPI | 1073564639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS MESA President 305-541-5940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL 4380) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |