| NPI | 1386948222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL PADRON Owner 786-536-6196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 261QH0100X Clinic/Center, Health Services (Licence: FL AHCA HCC 8958) | |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2024-07-17 |