NPI | 1215206560 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH A LAGUNA Owner/President 727-797-3798 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0046346) |
Enumeration Date | 2011-12-15 |
Last Update Date | 2012-04-02 |