| NPI | 1538500756 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | HUMBERTO MARTINEZ Owner 305-557-6188 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC7764) | 
| Enumeration Date | 2013-07-16 | 
| Last Update Date | 2013-07-16 |