| NPI | 1053796995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO H CRISOSTOMO Sole Member 407-637-4687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME89846) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |