| NPI | 1467872317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALY CASTELLANOS President 305-206-1603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME14277) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2014-04-18 |