| NPI | 1346681574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMES LINO MILANES Owner 305-505-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME108558) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-19 |