| NPI | 1114384112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO J RAMOS President 786-253-6175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL HCC12085) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |