NPI | 1902214091 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLOS A MACHADO President 305-915-4134 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL MA69369) |
Enumeration Date | 2014-08-01 |
Last Update Date | 2014-08-01 |