| NPI | 1619016185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISETTE VAZQUEZ President 786-243-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL OS9315) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-01-30 |