NPI | 1861791295 |
---|---|
Entity Type | Organization |
Authorized Contact | VICENTE G LOPEZ President 786-546-4855 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME82612) |
Enumeration Date | 2011-03-24 |
Last Update Date | 2011-03-24 |