| NPI | 1548647035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE MONTEAGUDO Owner 786-594-0058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL MA61568) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |