| NPI | 1962949479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTO MANZOR Md/President 786-237-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME109374) |
| Enumeration Date | 2017-01-22 |
| Last Update Date | 2017-01-22 |