NPI | 1265817639 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIO E JARDON President And C.E.O. 305-424-3100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-07-27 |
Last Update Date | 2022-07-21 |