NPI | 1003151903 |
---|---|
Entity Type | Organization |
Authorized Contact | CRUZ ADELMIS SANTOS Physician 407-476-4011 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME107498) |
Enumeration Date | 2012-12-03 |
Last Update Date | 2013-12-06 |