| NPI | 1467808022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GASTON RAFAEL MORAN CELAYES President 954-389-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-05-12 |