| NPI | 1669654471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIRO GIUA Owner 786-547-2725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL ME88429) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2009-02-12 |