| NPI | 1922066638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH PASION Office Manager 305-556-1544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL me0027911) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2013-10-29 |