| NPI | 1881857225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMANDO A SANTELICES President/Doctor 305-827-3505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: FL ME34184) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2008-07-07 |