| NPI | 1245638063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SANTIAGO President 305-381-5429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL ME64467) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |