| NPI | 1649292558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAIDA SANTANDER President 305-940-7074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC7073) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-08-22 |