| NPI | 1952896953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE GAMONEDA President 786-326-0576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 04-178) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-06-22 |