| NPI | 1295935013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL C ACOSTA President 954-961-8195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL HCC4716) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |