| NPI | 1275760779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELDA LOPEZ Owner/President 305-598-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: FL ME86541) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |