| NPI | 1205119609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE CERON-FUENTES President 352-593-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME95797) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |