| NPI | 1821774126 |
|---|---|
| Former Legal Business Name | OCEAN REEF MEDICAL INSTITUTE, LLC |
| Entity Type | Organization |
| Authorized Contact | MARIA AMANDA TREJOS Owner/ Manager 786-859-1918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-06-22 |