| NPI | 1659779486 |
|---|---|
| Doing Business As | MABEL ECHEANDIA |
| Entity Type | Organization |
| Authorized Contact | SADITH DIETZ Account Manager 813-890-8004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME67229) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |