| NPI | 1609119528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO S MENDEZ Medical Director 786-953-6415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL ME83615) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-03-28 |