| 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 |