| NPI | 1114354032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN GUILLERMO COQUELET President 772-466-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL OS6690) |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2013-12-17 |