| NPI | 1164131272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORAIDA RODRIGUEZ Owner 305-776-1443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251S00000X |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2022-11-17 |