| NPI | 1710225628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO DIAZ President 786-631-4336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME87964) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2019-11-06 |