| NPI | 1457754822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON MORENO Assistant Manager 305-863-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC3962) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2018-06-16 |