| NPI | 1588910525 |
|---|---|
| Other Name | BENJAMIN C BALAREZO SOLE MBR |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN C BALAREZO Manager 305-951-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL CH9439) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2013-04-02 |