| NPI | 1639103872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE HERNANDEZ President 305-222-9026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC6001) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |