| NPI | 1689924292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VILMA BIAGGI Medical Director 305-932-0282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: FL ME43242) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |