NPI | 1285078675 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSE GARCIA Physician/Owner 941-391-5522 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0055898) |
Enumeration Date | 2013-04-29 |
Last Update Date | 2013-04-29 |