| NPI | 1437100641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GICLE GONZALEZ President 305-487-6006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC6683) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-08-22 |