| NPI | 1710228648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN DANIEL PULIDO Owner 904-655-7920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME102087) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-09-03 |