| NPI | 1144633256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILFREDO E BRAVO Medical Doctor 786-409-3957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL ME110036) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |