NPI | 1407963721 |
---|---|
Entity Type | Organization |
Authorized Contact | LUIS F VERDECIA Medical Director 305-828-4201 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL 462200-8) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2008-08-01 |