| NPI | 1295195725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL A FERNANDEZ President/Owner 239-228-5138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL me17907) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |