| NPI | 1881632776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIAN REYNALDO GONZALEZ President 786-709-6754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL 604666-8) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |