| NPI | 1215284542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL WONG President 305-226-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL AHCA HCC 10056) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |