| NPI | 1083848899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA YOLANDA GOMEZ Office Manager 305-777-6828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0053487) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-05-27 |