| NPI | 1578873634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO MAXIMO VAZQUEZ Director 239-694-0533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: FL ME68742) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |