| NPI | 1275706822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIZALINA L LEUTERIO Dr / Owner 386-760-8116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0061585) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2008-10-21 |