| NPI | 1366037699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOANNER MARTINEZ President 786-461-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-09-20 |