| NPI | 1508205089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL RODRIGUEZ President 786-523-3042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL MA57988) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-19 |