| NPI | 1659761492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZARO GONZALEZ President 786-229-3674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: FL ME14277) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |