| NPI | 1619931821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. AGUSTIN LACSON Owner 863-385-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME0072358) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2021-08-30 |