| NPI | 1811130339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIO FERNANDO CARDONA Internal Medicine 863-644-3585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| 261QP2300X Clinic/Center, Primary Care (Licence: FL 9970043900) | |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2024-01-05 |