| NPI | 1396276846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETE GUTIERREZ Medical Director 305-572-2026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: FL ACN296) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |