| 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 |