| NPI | 1083279608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL RODOLFO GARDEN HERNANDEZ Surgical Assistant Certified Lsa C 786-487-9951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |