NPI | 1487779153 |
---|---|
Entity Type | Organization |
Authorized Contact | EDGAR ANGEL COVARRUBIAS Physician 561-622-3875 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: FL ME 36593) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2010-07-28 |