NPI | 1528543725 |
---|---|
Entity Type | Organization |
Authorized Contact | ALFONSO GARCIA BELLO President 239-800-3028 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QR1100X Clinic/Center, Research |
Enumeration Date | 2018-10-03 |
Last Update Date | 2021-03-29 |