| NPI | 1205119112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSVALDO PINO President/Owner 786-499-4127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME55442) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |