| NPI | 1164829974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA I DELGADO Medical Director 305-798-3075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL ME65520) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-12-04 |