| NPI | 1710359716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN CRUZ Owner 407-362-0901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: FL ME123606) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2016-07-07 |