| NPI | 1245858778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL CHIRINO President 786-424-3140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-08-13 |