| NPI | 1508907536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC AZAR Administrative Assistant 305-649-4199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL hcc5246) |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2020-08-22 |