| NPI | 1265785869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL ANTONIO FANA Medical Director / Owner 727-781-5811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME80639) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-19 |