| NPI | 1902163801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL ANGEL GONZALEZ President 954-523-8108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL 24288) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |