| NPI | 1750799888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYDEL ENCARNACION President 305-219-1620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL MA 67026) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-02 |