| NPI | 1407897127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS SARDINAS President 305-554-0843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: FL HCC6074) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-22 |