| NPI | 1467863753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL S GRILLO Owner 786-368-3187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME 66588) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |