NPI | 1295166858 |
---|---|
Entity Type | Organization |
Authorized Contact | YACCELY E HERNANDEZ Authorized Official 305-227-6161 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL ME66588) |
Enumeration Date | 2013-12-09 |
Last Update Date | 2013-12-09 |