| NPI | 1740673425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PABLO GARCIA Owner 386-677-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME55445) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |