| NPI | 1396883807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL AUGUSTO LUNA Chief Operating Officer 954-791-5184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2022-07-21 |