| NPI | 1508016205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS E MERCADO Physician 407-771-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: FL ME73229) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |