| NPI | 1528232436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN MIGUEL FERNANDEZ President 305-633-3667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL ME 100705) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |