| NPI | 1730479601 |
|---|---|
| Doing Business As | ACESO & PANACEA WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | JORGE LUIS LOPEZ Secretary/VP 305-213-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME17907) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-13 |