| NPI | 1972994390 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CARLOS GARMENDIA Owner 786-879-3715 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ma58563) | 
| Enumeration Date | 2015-02-06 | 
| Last Update Date | 2015-02-06 |