| NPI | 1962756650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELZA VASCONCELLOS Owner 305-671-3654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME77405) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2023-11-07 |