| NPI | 1437691169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMILCAR M LOMINCHAR Md/Owner 813-440-4420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: FL ME125313) |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2023-06-05 |