| NPI | 1528344306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMBERTO A JUNCO President/Provider 305-502-9838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: FL 00f425) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |