| NPI | 1487691960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIA J LADIA Secretary Treasurer 863-763-6431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0022126) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |