| NPI | 1386045474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS LOPEZ Medical Director 786-547-9626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME93436) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |