| NPI | 1497046957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIOS GONIS Owner/ Md 239-573-1152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL ME53510) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME53510) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2012-05-04 |