NPI | 1144605577 |
---|---|
Entity Type | Organization |
Authorized Contact | LUIS MERCED Physician/Owner 813-476-8212 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME55872) |
Enumeration Date | 2015-07-27 |
Last Update Date | 2015-07-27 |