| NPI | 1154370716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN FERNANDA SALVADOR Administrator 305-223-2771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC6715) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-05-19 |