| NPI | 1619012275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PACITA T ABINALES Owner Provider 727-526-4122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME27211) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-05-02 |