| NPI | 1750626131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLYS TABARES President 305-696-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL 8733) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |