| NPI | 1003320730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIDIA GOMEZ Owner/Office Manager 407-750-8750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME74515) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |