| NPI | 1962553750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTO ANDRES ORDAZ President Owner 305-266-6679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC6291) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-10-02 |