| NPI | 1477902336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO RAFAEL SHELTON President 786-615-9198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC10656) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2018-03-01 |