| NPI | 1811367386 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | NATALIA MORALES SANCHEZ Owner 786-325-7675 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND6946) | 
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: FL ND6946) | 
| Enumeration Date | 2015-09-28 | 
| Last Update Date | 2015-09-28 |