| NPI | 1982951620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO J LOPEZ President 305-593-5121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL AHCA HCC10086) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |