| NPI | 1992972962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE LOPEZ DEL CASTILLO Direct Owner 305-269-6788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2014-03-18 |