| NPI | 1700276359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN BEJERANO President 786-401-7078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL ME23322) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |