| NPI | 1811463987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARI SOLORZANO Owner 954-404-7704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| 347C00000X Private Vehicle | |
| 305S00000X Point of Service | |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2019-09-13 |