| NPI | 1588634984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLOR DE MARIA CRISOLOGO President 305-751-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL 800014697) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2009-11-20 |