| NPI | 1386971588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIETTE ANAIS TAMAYO President 786-286-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC10107) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2014-07-02 |