| NPI | 1801338009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYANET GALLO President 305-863-2067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2016-11-06 |
| Last Update Date | 2021-01-11 |