| NPI | 1811358120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE PADILLA President 386-668-4702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME003010) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |