| NPI | 1629402961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REINALDO DIAZ President 305-888-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC8408) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |