| NPI | 1144644030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAMILE B PORRO Medical Director 786-301-0670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME83959) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |