| NPI | 1568639284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBIS ALVAREZ President 305-785-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL AL10487) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |