NPI | 1245581917 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIO E JARDON President And C.E.O. 305-424-3100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2012-09-21 |
Last Update Date | 2014-11-05 |