| NPI | 1669595757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERTO LOZANO Owner Provider 863-678-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME84676) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2010-04-16 |