| 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 |