| NPI | 1265691356 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | ROBERTA ASCENCION Owner 305-821-2530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC8097) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2013-04-08 |