| NPI | 1952388126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA T BETANCOURT Owner/President 305-774-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC3983) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2008-01-28 |