NPI | 1851790554 |
---|---|
Entity Type | Organization |
Authorized Contact | JAIME JOSE PEREZ President 386-215-5241 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL CH11036) |
Enumeration Date | 2014-08-19 |
Last Update Date | 2014-08-19 |