| NPI | 1821259169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSMIN VIVAS President 305-825-1418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC7919) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2012-12-06 |