| NPI | 1407895394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE LAGO Owner 305-232-4321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC6648) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-08-22 |