NPI | 1366742298 |
---|---|
Entity Type | Organization |
Authorized Contact | CARMEN C HIDALGO Office Manager 305-279-2767 |
Organization Subpart ? | Yes |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL CH6410) |
Enumeration Date | 2010-10-26 |
Last Update Date | 2013-03-27 |