| NPI | 1720375306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO ELOY DE LA CRUZ President 305-831-2789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME 109588) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: FL ME 109588) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2018-06-20 |