| NPI | 1831512508 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | NEUDYS ALVAREZ President 305-887-0709 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL ma60452) | 
| Enumeration Date | 2014-01-30 | 
| Last Update Date | 2014-01-30 |