| NPI | 1134460355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE VILLA Owner/President 305-343-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME114775) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-15 |