| NPI | 1255766754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMAN FRANCISCO MARTINEZ President 305-414-2698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL MM 30607) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2014-03-03 |