| NPI | 1548514680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GONZALO MOSQUERA Medical Doctor 407-429-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL ME0071342) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |