| NPI | 1013108273 |
|---|---|
| Doing Business As | ADULT PRIMARY CARE OF POLK COUNTY |
| Entity Type | Organization |
| Authorized Contact | PEDRO RUIZ Owner/President 863-666-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2009-09-22 |