| NPI | 1508574641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEILA HOOVER Owner 305-265-4441 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2022-11-08 |