| NPI | 1003903709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO J MORALES President 727-327-9667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME89 730) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME 41704) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |