| NPI | 1568890523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISMELYS TRUJILLO GAMA President 305-378-9968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL PA9100183) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-11-04 |