| NPI | 1255764221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYDEL ENCARNACION President 305-477-9569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC10750) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-20 |