| NPI | 1083048391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN C CORREA VILA President 395-888-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC8438) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2013-08-23 |