| NPI | 1093010563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESITA L REPIEDAD Owner/President 352-351-0647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0033930) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2011-02-15 |