| NPI | 1285928739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILVIA MARIE VILLEGAS Sole Owner/President 786-371-9973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL me105843) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |