| NPI | 1710384805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO ALBERTO JIMENEZ Medical Director 786-397-1342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL ME114414) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2014-12-04 |