| NPI | 1235216243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA N DIUANA President 786-597-6837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: FL AHCA HCC6959) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |