| NPI | 1912546433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL SOTO Owner 305-527-4961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-01-01 |
| Last Update Date | 2023-11-08 |