| NPI | 1891245924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL S GRILLO President 305-463-9368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME66588) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |