| NPI | 1487076469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS LOPEZ MAS Medical Director 786-393-0457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME91436) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-02-13 |