| NPI | 1215105275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN CORO President 305-819-8841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL me#92151) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |