| NPI | 1982039442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE LUIS GONZALEZ President 305-599-5258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC9762) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2014-10-29 |