| NPI | 1205024510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX CARLOS CASTRO Assistant Office Manager 305-674-2760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X (Licence: FL ME0020990) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2011-12-08 |