| NPI | 1083620058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE CARBALLO Administrator 305-595-9511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: FL PH8888) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |