| NPI | 1346730975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANOI GONZALEZ Owner 954-794-8753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL AP3170) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |