| NPI | 1922335900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMARYS VEGA Administrator 305-403-2560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL Applied for) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2023-09-28 |