| NPI | 1366855975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLANDO FERNANDEZ Medical Director 239-301-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: FL ME113113) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-07-29 |