| NPI | 1811345200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO FALCON President 786-374-5868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL OSR987) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |