| NPI | 1851439764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAUN ORTIZ Physician 305-642-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL AO6694322) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |