| NPI | 1497234512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARITZA D. DIEGO Chief Executive Officer 305-220-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1100X Clinic/Center, Research (Licence: FL PA9110219) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |