| NPI | 1265706881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZARO TRUJILLO Owner 305-264-9061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ahca hcc9398) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-03-20 |