| NPI | 1518200419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMBERTO MARTINEZ President 305-200-1270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC10486) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2013-03-29 |