| NPI | 1154749448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO ALBERTO JIMENEZ Medical Director 786-476-7314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC9823) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-09-18 |