| NPI | 1962436659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY MIRALLES President 305-593-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL 6202) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |