| NPI | 1801120514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL FRANCISCO HERNANDEZ Medical Director 305-266-7128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC7700) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2009-09-28 |