| NPI | 1760413223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISSE MARTINEZ Manager/Co Owner 305-823-1959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC6354) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |