| NPI | 1275886384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDELVIS NEGRON President 305-554-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL HCC 8713) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |