| NPI | 1811488554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL A CRUZ Medical Director 305-856-9442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL 607228) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2023-07-31 |