| NPI | 1811306426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS ALBERTO BLANCO Medical Director 786-762-7382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME71266) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-09-11 |