| NPI | 1356778930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NESTOR FERNANDEZ Medical Director 786-718-3479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME56218) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2014-10-20 |