| NPI | 1528427150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME ABUAN President 863-229-7486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME90989) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-09-27 |