| NPI | 1003147158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FABIO OLIVEROS Owner 863-385-2606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME0041053) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME93285) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME94328) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: FL ME103963) | |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2010-01-28 |