| NPI | 1134393234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO M DE JESUS Physician 407-607-4625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX J8988) |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2022-11-15 |