| NPI | 1780828186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYRA L LORENZO Physcian/Owner 727-216-6188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME59120) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2014-02-15 |