| NPI | 1255650289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISMAEL VEGA-ORTIZ President 305-671-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL 9640) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2010-06-01 |