| NPI | 1336262062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE L ACEVEDO President 305-823-3312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC4595) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |