| NPI | 1831516178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL IGNACIO RODRIGUEZ President 954-200-4490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL ME49132) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |