NPI | 1013341429 |
---|---|
Entity Type | Organization |
Authorized Contact | MONICA RIVERA-AMILL President 813-631-9396 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME105665) |
Enumeration Date | 2013-08-22 |
Last Update Date | 2013-08-22 |