| NPI | 1841558871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZUZEL TRUJILLO Owner 305-223-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL dn 18673) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2012-04-27 |