| NPI | 1770842445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO AMIEVA President 305-303-8620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL 9451) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |