| NPI | 1871815795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN HERNANDEZ President 305-603-8139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC8307) |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2010-02-19 |