| NPI | 1265465892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISEL CHAVIANO President 305-801-1483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC7112) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |