| NPI | 1336258243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN O BRAVO CEO 863-398-8362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-03-29 |