| NPI | 1235173550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA M BATISTA Office Manager 305-663-8595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME41628) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME66723) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-08-22 |