| NPI | 1619179272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYDEN E MARTINEZ President 305-823-5859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL 5007) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |