| NPI | 1386830628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLANDO SEBASTIAN RANGEL Owner 813-673-8245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME82760) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2008-05-09 |