| NPI | 1174852560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL M. VAZQUEZ President 727-642-4183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: FL OS5236) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: FL OS5236) |
| 208800000X Urology (Licence: FL OS5236) | |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2013-07-30 |