| NPI | 1144313230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISSET M. SUAREZ President Owner 305-266-3966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC7242) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |