| NPI | 1669858924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODOLFO HANABERGH President 954-815-4926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME65756) |
| Enumeration Date | 2015-08-09 |
| Last Update Date | 2015-08-09 |