| NPI | 1235152695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APOLINAR ADALBERTO HENRIQUEZ Owner 321-537-2612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0042863) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2013-12-20 |