NPI | 1679716989 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACY ANN GARCIA President / Officer 727-799-9060 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME46132) |
Enumeration Date | 2009-04-16 |
Last Update Date | 2009-04-16 |