NPI | 1093762049 |
---|---|
Entity Type | Organization |
Authorized Contact | OMAYSA RODRIGUEZ President 305-828-0323 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC6875) |
Enumeration Date | 2006-05-27 |
Last Update Date | 2020-08-22 |