| NPI | 1881967669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACCEK Y GOMEZ President 305-597-0806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL HCC9371) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |