| NPI | 1215288154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE G VALLADARES President 786-281-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0002X Psychiatry & Neurology, Bariatric Medicine |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |