| NPI | 1609111855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENIGNO JOSE DIGON President 386-265-1908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME090349) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2013-01-07 |