| NPI | 1275995052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAYDA HERNANDEZ President 786-760-8084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |