| NPI | 1356654859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORCAS IRIS DE JESUS Office Manager /Registered Agent 786-413-8487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL MH4025) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-11-02 |