| NPI | 1508221524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISOL MARTINEZ Billing Company Owner 305-702-9441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME96924) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |