| NPI | 1306550231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN RODRIGUEZ Director Of 340 B Operations 407-670-9557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-10-04 |