| NPI | 1659657021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR GONZALEZ Owner 305-200-3316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL MA61660) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2011-10-28 |