| NPI | 1265494553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN T PARADELA Administrator 305-551-8763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 874) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2012-05-10 |