| NPI | 1700180411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO RICARDO CAMACHO President 305-298-7825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL 2806) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |