| NPI | 1821579384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZSANDRA RODRIGUEZ President 305-603-7824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL ME124991) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2022-09-27 |