| NPI | 1417082454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSVALDO LABRADOR LOPEZ President 561-584-0316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC7523) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |