| NPI | 1922411347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDY N DOMINGUEZ President 786-542-9051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC10171) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-08-21 |