NPI | 1447390604 |
---|---|
Entity Type | Organization |
Authorized Contact | MELBA A CHAVEZ Office Manager 305-279-9522 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: FL ME0040910) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME0064414) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2020-08-22 |