| NPI | 1083332209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAS DUMENIGO Manager 305-819-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202D00000X Integrative Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-08-15 |