| 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 |