| NPI | 1790434231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAIN LLANES ROJAS Md/ Owner 352-575-5704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2025-05-12 |