| NPI | 1851680003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELMY SANTIAGO Office Administrator 305-395-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME59704) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2023-02-10 |