| NPI | 1942506837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO E JARDON CEO 305-424-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2014-11-03 |