| NPI | 1457634263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL GAZEL DEJUK Owner 386-328-8668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL me 0055591) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2012-03-02 |