| NPI | 1316975907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL E TREVINO President 727-584-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0048086) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2009-02-02 |