| NPI | 1528343050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REINA GOMEZ President 786-333-0423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL hcc9841) |
| Enumeration Date | 2011-10-16 |
| Last Update Date | 2013-12-10 |