| NPI | 1699041384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS FERNANDEZ President 786-536-2294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL AHCA HCC 9788) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |