| NPI | 1669540852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA C. LORIGA Owner 305-264-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL HCC4484) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |