| NPI | 1942534680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO DIAZ President 786-631-4336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC7301) |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP2300X Clinic/Center, Primary Care (Licence: FL HCC7301) | |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2019-11-06 |