NPI | 1821305863 |
---|---|
Entity Type | Organization |
Authorized Contact | PABLO ERNESTO FIGUEROA President 352-860-0633 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME62708) |
Enumeration Date | 2010-09-13 |
Last Update Date | 2010-09-13 |