| NPI | 1891118105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILFREDO BRAVO President 305-694-9802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME110036) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |