| NPI | 1275940124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA VILLATE President 305-788-0947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME102239) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-07-11 |