| NPI | 1972809895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAZMIN MALDONADO Owner 786-360-3928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL AHCA HCC8872) |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2012-04-09 |