| NPI | 1538325428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCA CRISTINA LUNA Md/Owner 386-279-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME69660) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME0069660) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2012-06-22 |