| NPI | 1639561186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHZAIRA DIAZ Owner 786-339-4683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL L14000072508) |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care (Licence: FL L14000072508) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2024-01-08 |