| NPI | 1780828814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD ENRIQUE GONZALEZ President 954-325-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC8538) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2013-01-18 |