| NPI | 1538117833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS I IBARRA President 305-254-3250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC7011) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2022-07-21 |