| NPI | 1174834717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRUZ MARTINA FANA-SOUCHET President/Medical Director 727-331-8740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 96750) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME 96750) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2012-11-06 |