NPI | 1427247014 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA T VARGAS Owner 239-434-2882 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME79687) |
Enumeration Date | 2007-10-18 |
Last Update Date | 2010-06-23 |