| NPI | 1962754143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANDRIE MARENO President 305-815-3710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC9977) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |