| NPI | 1922058320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE BERNAL President 305-269-4904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL HCC6784) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-08-22 |