| NPI | 1740672401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE NARANJO Owner 786-391-8150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME116074) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |