| NPI | 1114342979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCA N GONZALEZ Medical Director 786-420-5503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME106369) |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |