| NPI | 1194937557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE RODRIGUEZ CARMENATE President 561-366-8566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL 2007-18948) |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2020-08-22 |