| NPI | 1689984932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA CORVO President 305-827-0208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2020-12-14 |