| NPI | 1548796428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARVI R ARIAS Owner 863-937-7578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 405300000X Prevention Professional |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-08-29 |