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 |