| NPI | 1710227988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DE JESUS RODRIGUEZ Office Manager 954-432-8856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC6432) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |