| NPI | 1770903007 |
|---|---|
| Former Legal Business Name | IMAGEN MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ARLEX DIAZ President 786-558-7167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA66664) |
| Additional Taxonomies | 385HR2050X Respite Care, Respite Care Camp |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |