| NPI | 1235213737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA O HERNANDEZ Credential Specialist 305-553-9669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME38850) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2010-02-09 |