| NPI | 1225320054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTIAGO VERA Mgrm 305-250-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL AHCA HCC 9140) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2021-10-15 |