| NPI | 1679526677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA ASCENCION President 305-836-2474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC6661) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |