| NPI | 1144439084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSVALDO FERNANDEZ President 786-220-2857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL HCC3862) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2013-10-08 |