| NPI | 1861731622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAIVI LLANES Office Manager 305-263-6710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL 41718) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-13 |