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 |