| NPI | 1497158125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIOVANNI LUPO Owner 321-259-6478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME76857) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |