| NPI | 1396375556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL GONZALEZ President/Owner 239-207-4802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-10-29 |