| NPI | 1730501081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN M GARCES Physician 305-251-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL ME45734) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-01-06 |