| NPI | 1134536659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTO LOPEZACOSTA Owner 305-608-4922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL AP3432) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |