| NPI | 1891197463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SACHYRA SANCHEZ President 786-254-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2021-06-22 |