NPI | 1841647963 |
---|---|
Entity Type | Organization |
Authorized Contact | JAIME IVAN FLORES Medical Director 786-631-3175 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL ME106104) |
Enumeration Date | 2016-05-18 |
Last Update Date | 2016-05-18 |