| NPI | 1508036641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK HERMY GUADIZ President 863-675-2148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME92599) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-28 |