| NPI | 1851138911 |
|---|---|
| Former Legal Business Name | NA |
| Entity Type | Organization |
| Authorized Contact | YOLANDA RODRIGUEZ President 305-205-5058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-07-15 |