| NPI | 1154910271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL MATEOS-MORA Owner/Operator 321-254-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |