| NPI | 1649597485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEISY H GONZALEZ Office Manager 407-896-4147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0026137) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2010-06-04 |