| NPI | 1568643039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGEN LUIS President 305-643-8130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: FL HCC6279) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2023-10-18 |