| NPI | 1902142763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ZULUETA President 786-439-3996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC8269) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |