| NPI | 1770632457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE JOAQUIN GRAVIER Manager 305-906-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL ME81343) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2015-11-17 |