| NPI | 1922554823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILEANA MARGARITA RODICIO Owner 786-320-2295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME88103) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |