| NPI | 1265864706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEYDEL RANGEL Owner/President 305-468-1485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL MA65882) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |