| NPI | 1225350440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTO JAVIER CASTILLO President 305-456-4138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL MM24395) |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service (Licence: FL ME50169) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |