| NPI | 1912303686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCA GONZALEZ Medical Director 786-409-5347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL ME106369) |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2014-11-07 |