| NPI | 1245579333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS M CAMPILLO President 786-953-6165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME64856) |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-02-08 |