| NPI | 1871732602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKTORIYA PATRUSHEVA Gm 786-245-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC8069) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |