| NPI | 1366853939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCA NELIDA GONZALEZ Medical Director 786-703-4918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME106369) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2014-05-16 |