| NPI | 1356513584 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JENNIFER CRISTINA MIEHL SANCHEZ Office Manager 305-446-5718 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME 83852) | 
| Enumeration Date | 2008-03-27 | 
| Last Update Date | 2008-12-15 |