| NPI | 1194159749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS A DUHARTE VIDAURRE Mgr 863-314-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME95160) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |