| NPI | 1275892309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR HERRERA Owner 305-773-5096 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: FL PO3517) |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: FL PO3517) |
| 261QR0200X Clinic/Center Radiology (Licence: FL PO3517) | |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |