| NPI | 1093597270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA PRIDA Owner 786-487-3987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QR1100X Clinic/Center, Research |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2023-10-20 |