| NPI | 1700871795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO LOPEZ Owner 407-207-6768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2022-07-21 |