| NPI | 1114327657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE ARENCIBIA President 786-562-7743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL CH8382) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-10 |