| NPI | 1790972271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMMY JERRY PINTO Owner 321-960-6925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL me77004) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2010-01-27 |