| NPI | 1659718864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE JESUS GIL-SABINA Physician 305-279-1515 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL ME84841) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-05-29 |