| NPI | 1629414503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PABLO SICILIA President 305-884-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL HCC9054) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-17 |