| NPI | 1457131690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONELA ROJAS GONZALEZ P 561-260-3914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2024-10-09 |