| NPI | 1669795118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L OSORIO General Manager 305-722-8993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME82265) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-19 |