| NPI | 1093763765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZARO LEAL President 305-554-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC6077) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-08-22 |