| NPI | 1356600068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YORDANY MARTINEZ Owner 561-444-3490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL HCC9457) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2020-12-07 |