| NPI | 1578790093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON URIBE President 561-779-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: FL MD430258) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |