| NPI | 1376861807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZARO D RODRIGUEZ President 561-697-2904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL CH4496) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2010-05-07 |