| NPI | 1871834994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANNYS MATO Owner 305-810-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC10560) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-05-21 |