| NPI | 1427326800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISELA CARMEN JAQUEZ-GUTIERREZ President 305-392-6784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME70979) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |