| NPI | 1598905820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO DE LA ROSA Owner 305-885-0059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL MM22641) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-02-26 |