| NPI | 1225420599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERMAN CASTRO Owner 321-728-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0037086) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |