| NPI | 1386665438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO J. HERNANDEZ President Owner 954-316-8496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC6842) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2007-07-16 |