| NPI | 1770853210 |
|---|---|
| Doing Business As | COSTA HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | CINDY PEREZ Office Manager 305-825-1997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2012-06-04 |