| NPI | 1992124739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYRON BELTZER Medical Dirtector 786-542-5073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC9063) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |