| NPI | 1770884900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN IGLESIAS President 305-245-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2013-01-16 |