| NPI | 1649661000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK JOSE BAPTISTA Owner 305-603-7452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL MA66731) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-09 |