| NPI | 1588865828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLAVIO DIAZ DE VILLEGAS President Owner 305-476-3173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC4022) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |