| NPI | 1912346677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN ROS CARRETERO Medical Director 863-414-8131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME68749) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-17 |