| NPI | 1912782350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEINET OLIVERA President 786-332-1585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2025-07-25 |