| NPI | 1861738197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSMEL MARTINEZ VP 305-443-8229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: FL HCC8617) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2022-07-21 |