| NPI | 1962447011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO M PALACIO President 305-443-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC6847) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |