| NPI | 1598156838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTO RODRIGUEZ Owner 786-803-7957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL 11706) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-03-06 |