| NPI | 1447275367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS GINORIS Owner 305-888-3404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC7128) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2009-10-28 |