| NPI | 1548663180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NESTOR FERNANDEZ Medical Director 786-763-7110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME56218) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2014-09-26 |