| NPI | 1306982111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MABIET VILLEGAS Adm 305-595-4136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME76132) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |