| NPI | 1558543116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA TERESA VARGAS Owner 239-434-2882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: FL ME79687) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |