| NPI | 1740460138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARITA MERCEDES VENDRELL Pres 904-446-9205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME 71818) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2012-04-25 |