| NPI | 1568227148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIX IVAN LOPEZ BERMUDEZ Owner 321-317-6199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-03-05 |