| NPI | 1194134429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA J DE LA ROSA Officer 786-531-6109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL CH6213) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |