| NPI | 1275647752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO JARDON CEO 305-558-0151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: FL 744441) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2014-11-03 |