| NPI | 1932504941 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MANUEL FERNANDEZ-GONZALEZ President 305-639-8109 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL me17907) | 
| Enumeration Date | 2014-11-03 | 
| Last Update Date | 2014-11-03 |