| NPI | 1619387925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLANDO FERNANDEZ Medical Director 239-304-9071 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME113113) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |