| NPI | 1427009216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL LOZANO President 305-249-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC5948) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-08-22 |