| NPI | 1144529827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICENTE CHAVARRIA President 305-670-7006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME 60493) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2023-01-26 |