| NPI | 1770825077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSBERTO B HIDALGO Owner 954-442-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2019-08-15 |