| NPI | 1033136023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE R MARQUINA Owner 239-592-5864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL 179809) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL 179809) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2011-08-09 |