| NPI | 1053584011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL ANGEL MEDINA Physician 321-268-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0097000) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2009-08-17 |