| NPI | 1346655909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO E BAYRON Medical Director 305-397-2527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL ME93401) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |