NPI | 1518446400 |
---|---|
Entity Type | Organization |
Authorized Contact | MARITZA D. DIEGO Chief Executive Officer 954-430-1097 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1100X Clinic/Center, Research (Licence: FL PA9110219) |
Enumeration Date | 2018-08-10 |
Last Update Date | 2018-08-10 |