| NPI | 1700607934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM AVILA PEREZ Authorized Official 305-456-5693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-10-21 |