| NPI | 1851341002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YIPSI MARTIN President 305-982-8810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: FL HCC4304) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2022-10-27 |