| NPI | 1174980874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL PEREZ President 786-362-9124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC12094) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |