| NPI | 1841614898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILSON IZQUIERDO President 305-763-0072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL me112185) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-03-11 |