| NPI | 1629026224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELIO LOPEZ President 305-631-6601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC6979) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-08-22 |