| NPI | 1275563454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO GRASS Owner 305-448-2470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC6374) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-07-08 |