| NPI | 1184663502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS PEDRE President 305-817-2679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC6853) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2020-08-22 |