| NPI | 1073692505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA CAYRO President 305-262-8252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL 363AM0700X) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2008-05-08 |