NPI | 1376204420 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER ALEXANDRA PRECIADO CEO/Practitioner 786-362-4338 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2021-12-30 |
Last Update Date | 2022-02-01 |