| NPI | 1295285252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS MANUEL JUNCOSA CABRERA President 786-615-9388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC10775) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |