| NPI | 1508275728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS BLANCO Medical Director 305-796-9208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME71266) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-09-15 |