| NPI | 1629303375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUNJANA MAVUNDA Medical Director 305-668-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME0047855) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2009-10-14 |