| NPI | 1467644336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS RICARDO CORTES President 954-358-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL os9656) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2008-03-28 |