| NPI | 1194129684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARA T VENTURA P 786-254-7636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL OS12833) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |