| NPI | 1871997304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDALIA ACOSTA Medical Director 305-649-0508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME66961) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |