| NPI | 1518100775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M GARCIA Office Director 228-831-1140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R858126) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 20037) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2009-04-16 |