| NPI | 1164565685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARIDAD DOMINGUEZ President 786-331-7769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL 7771) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |