| NPI | 1558606335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO J LAMADRID President 352-505-0255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ACN101) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2013-02-15 |