| NPI | 1912321217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMBERTO MARTINEZ President 786-448-1277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC9348) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-03-07 |