| NPI | 1609101898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE L LOPEZ-GUTIERREZ Md 239-939-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME92874) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2009-10-06 |