| NPI | 1033570171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIPE COLLAZO-PAGAN Member 407-928-5766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL ME79942) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |