| NPI | 1205903432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL NURIEL CEO 321-235-0692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 2084P0805X | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2025-07-08 |