| NPI | 1629413125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILBERT CICERON ZEBALLOS Owner 321-208-1883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME90229) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2013-05-09 |