| NPI | 1417371436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS LOPEZ MAS Medical Director 786-660-2433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME91433) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-02-11 |