| NPI | 1578838728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS SOSA President 754-263-2963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ahca hcc9369) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |