| NPI | 1497271118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLEN MORALES Compliance Officer 305-913-9447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC11110) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2018-06-16 |