| NPI | 1760743876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO LOPEZ President 305-819-8094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL HCC4034) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |