NPI | 1225223985 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA C TORRES Owner/Physician 321-264-1052 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: FL ME90321) |
Enumeration Date | 2007-09-06 |
Last Update Date | 2012-10-01 |