NPI | 1770981441 |
---|---|
Entity Type | Organization |
Authorized Contact | WILFREDO EDDY BRAVO President 786-409-3957 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME110036) |
Enumeration Date | 2014-12-12 |
Last Update Date | 2014-12-12 |