NPI | 1154156784 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANCISCO QUILES -CRUZ Owner 239-281-9252 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 208D00000X General Practice |
Enumeration Date | 2024-09-04 |
Last Update Date | 2024-09-04 |