| NPI | 1861811929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE GONZALEZ President 305-298-5307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL MA42484) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-10-07 |