| NPI | 1093052193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINORAH GONZALEZ President 305-456-6803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL HCC9743) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-07-03 |