| NPI | 1679882963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLISMEL CABRERO Managing Member 305-455-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: FL hcc8794) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |