| NPI | 1083049779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL CHAVEZ President 305-456-9062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL AHCA HCC 9853) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |