| NPI | 1326423047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN OBIAGERI ORIZU Manager 305-305-3545 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251C00000X (Licence: FL 003410000) |
| Additional Taxonomies | 251C00000X (Licence: FL 003239100) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |