NPI | 1326274085 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEFINO P BARGAS President 904-358-2770 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL florida) |
Enumeration Date | 2009-06-08 |
Last Update Date | 2009-08-03 |