| NPI | 1891931473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CESAR A VELILLA President 305-801-1129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL ME98818) |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2009-01-02 |