NPI | 1700310422 |
---|---|
Entity Type | Organization |
Authorized Contact | GLADYS FERNANDEZ-CORTES Managing Director 305-498-4034 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist |
Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2017-04-19 |
Last Update Date | 2017-04-19 |