| NPI | 1356201891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILIET HERNANDEZ Managing Member 786-542-7535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2025-12-30 |