| 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 |