| NPI | 1164815585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA LODATO CEO 786-522-9600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL 60081011) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2022-07-13 |