| NPI | 1720400112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMBERTO MARTINEZ President 786-212-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC11032) |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2014-03-12 |