| NPI | 1780199323 |
|---|---|
| Former Legal Business Name | LA FAMILIA MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | RAFAEL R ROSARIO Medical Director 352-237-8903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2018-08-08 |