| NPI | 1164698296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVIS E. LOPEZ Clinic Director 561-495-6911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL PT22428) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |