| NPI | 1245599828 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | HORACIO JORGE RODRIGUEZ-JIMENEZ Owner 850-526-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ACN371) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |