| NPI | 1811390966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR NAVIA Medical Director 786-762-7382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME65056) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-10-06 |