| NPI | 1356601702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARELINA MUGUERCIA Managing Member 407-323-7618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME100037) |
| Enumeration Date | 2012-05-19 |
| Last Update Date | 2012-05-29 |