| NPI | 1518165174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS MARTINEZ President 305-824-4698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC9657) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2014-03-26 |