| NPI | 1518399674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINY E DE LOS SANTOS Office Manager 786-619-5281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC9845) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2013-08-02 |