| NPI | 1588003065 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RAUL RODRIGUEZ President 786-523-3042  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL MA44261)  | 
| Enumeration Date | 2013-06-18 | 
| Last Update Date | 2013-06-19 |