| NPI | 1205075702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS FELIPE HERNANDEZ Medical Director 786-586-5062 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: FL G09002900058) |
| Enumeration Date | 2009-02-07 |
| Last Update Date | 2009-02-07 |