| NPI | 1396045266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIO LAZARO RODRIGUEZ President 239-693-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL me59828) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |