| NPI | 1649709114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL SANCHEZ Owner 786-485-3923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261Q00000X |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-07-21 |