| NPI | 1538437918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLY MARTELL Secretary 305-554-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME0067199) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |