| NPI | 1720381759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NESTOR MANUEL GUERRERO President 352-521-3266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME43778) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2011-05-16 |