| NPI | 1801865357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL ANTONIO FANA Medical Director & Owner 727-384-0192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL me80639) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2013-07-26 |