| NPI | 1245414523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZVIMINDA BENATO ORDONEZ DOLAR President 850-215-0281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL me0050580) |
| Enumeration Date | 2007-12-22 |
| Last Update Date | 2007-12-22 |