| NPI | 1942636964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES MIRANDA President 786-310-7530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC10679) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |