NPI | 1669767331 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBUSTIANO J BARRERA Medical Director 941-916-2168 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D14865) |
Enumeration Date | 2011-06-10 |
Last Update Date | 2011-11-23 |