| NPI | 1982656070 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MARIBEL QUEVEDO President 305-642-0017 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: FL HCC5623) | 
| Enumeration Date | 2006-05-17 | 
| Last Update Date | 2008-06-23 |