NPI | 1124609649 |
---|---|
Entity Type | Organization |
Authorized Contact | LUIS ANTONIO APONTE Owner 239-245-7171 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2021-04-16 |
Last Update Date | 2023-11-10 |