NPI | 1720031719 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGIE MARTINEZ Senior Credentialing Professional 407-447-7120 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2006-05-18 |
Last Update Date | 2024-05-10 |