| NPI | 1881630788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERIOCHA LAZO President 305-220-8580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2008-02-19 |