| NPI | 1629148622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO ANDRES BARBERENA President 954-608-5474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC4614) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |