| NPI | 1427008929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIDIALYS VAZQUEZ Administration / Manager 305-817-3735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC7030) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-08-22 |