| NPI | 1528425857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOSLEN SANCHEZ MESA President 305-763-2384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2020-08-01 |