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 |