| NPI | 1063443471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROQUE PLANAS Owner 757-233-8905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2015-03-03 |